远端中等血管闭塞的血管内血栓切除术：文献综述
Endovascular thrombectomy for distal medium vessel occlusions: A literature review.
作者信息
Aldaher Batool, Behera Anit, Morsi Rami Z, Adra Saryia, Desai Harsh, Kothari Sachin A, Thind Sonam, Chahine Ahmad, Carrión-Penagos Julián, Baskaran Archit, Rana Rohini, Armbrecht Eric S, Siegler James E, Coleman Elisheva R, Brorson James R, Mendelson Scott J, Mansour Ali, Prabhakaran Shyam, Kass-Hout Tareq
机构信息
University of Sharjah, Sharjah, United Arab Emirates.
Assistant Professor of Neurology and Neurosurgery, Department of Neurology, University of Chicago, 5941 S Maryland Ave., MC 2030, Chicago, IL 60637-1470, USA.
出版信息
J Stroke Cerebrovasc Dis. 2025 Jan;34(1):108134. doi: 10.1016/j.jstrokecerebrovasdis.2024.108134. Epub 2024 Nov 12.
BACKGROUND
There is a lack of substantial evidence supporting the safety and effectiveness of endovascular thrombectomy in treating distal medium vessel occlusions (DMVOs).
OBJECTIVE
To summarize the current evidence regarding endovascular thrombectomy for DMVOs.
METHODS
We conducted a narrative review of key articles related to the diagnosis and management of DMVOs. We manually searched PubMed and Google Scholar from January 2010 to July 2023, and only included articles published in the English language.
RESULTS
While diagnosing and treating DMVOs is tricky due to access limitations and potential limited benefit from mechanical clot removal, recent improvements in catheter and retrieval technology suggest that endovascular thrombectomy might be a potential treatment option. However, more high-quality research is needed to confirm its effectiveness for DMVOs.
CONCLUSION
Experts disagree on how to classify DMVOs and what the best mode of endovascular treatment is.
背景
缺乏大量证据支持血管内血栓切除术治疗远端中等血管闭塞（DMVO）的安全性和有效性。
目的
总结目前关于血管内血栓切除术治疗DMVO的证据。
方法
我们对与DMVO诊断和管理相关的关键文章进行了叙述性综述。我们手动检索了2010年1月至2023年7月期间的PubMed和谷歌学术，仅纳入以英文发表的文章。
结果
由于通路限制和机械取栓潜在的有限益处，诊断和治疗DMVO具有挑战性，不过导管和取栓技术的最新进展表明血管内血栓切除术可能是一种潜在的治疗选择。然而，需要更多高质量研究来证实其对DMVO的有效性。
结论
专家们在如何对DMVO进行分类以及最佳血管内治疗模式是什么方面存在分歧。
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